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Cited by 43Suicide and Self-Harm StudiesMental Health Treatment and AccessPsychiatric care and mental health services

Mental health care for adults with suicide ideation

Brook, Rachel, Klap, Ruth, Liao, Diana, Wells, Kenneth B.·2006·General Hospital Psychiatry
DOI 10.1016/j.genhosppsych.2006.01.001
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Abstract

Objective To estimate mental health and substance abuse services use for adults with and without suicide ideation.Method 2000-2001 follow-up of respondents to a nationally representative survey. Measures include self-reports of suicide ideation, specialty and primary care mental health services use, past year counseling, psychotropic medications and perceived need.Results The percentage of respondents who reported suicide ideation was 3.6%; 74% of them had a probable psychiatric disorder for which effective treatments exist. Nearly half of those with suicide ideation did not perceive a need for care, including some who received care. Of those with suicide ideation and a probable disorder, almost 40% received no treatment. Of those with suicide ideation who perceived a need for alcohol, drug or mental health (ADM) care, almost 40% received no care or inadequate care. In a multivariate model, having a probable psychiatric disorder, perceived need and being white were associated with increased likelihood of treatment use, among persons with suicide ideation.Conclusions Many adults with suicide ideation do not perceive a need for care or receive treatment in the same year. Even among those perceiving a need for care, many experience difficulties in obtaining it. It is critical to understand barriers to treatments for this high-risk group.

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Crossref · 10.1016/j.genhosppsych.2006.01.001

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  • Patients may hide suicidal thoughts deliberately to block prevention efforts, or because they see no need for care.

    “This may be done intentionally to thwart any intervention to prevent suicide, or because the person does not perceive a need for care (267).”

    From A brain-centric model of suicidal behavior (2020) · cites this paper as [267]

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Authors
Brook, R., Klap, R., Liao, D., & Wells, K. B.
Corresponding author
Klap, Ruth
ORCID
Wells, Kenneth B.
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
2006-07
Volume
28
Issue
4
Pages
271-277
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/j.genhosppsych.2006.01.001
OpenAlex
W2083254878
Cited by
43
References
34
Citations by year
2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 4
FWCI
3.69
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • General Hospital Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Robert Wood Johnson Foundation
  • National Institutes of Health (5p30mh068639-05)
  • National Institute of Mental Health (P30-MH068639)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
suicidal ideation, mental health service utilization, substance abuse services, perceived need for care, barriers to treatment, mental illness, psychotropic drugs, counseling, racial disparities
MeSH terms
Adult, Mental Disorders, Demography, Female, Health Services Needs and Demand, Health Status, Humans, Male, Mental Health Services, Middle Aged, Suicide, Attempted, United States

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